| Phyllis J Kornguth, MD, PHD | |
|
133 Brookline Ave, Boston, MA 02215-3904 | |
| (617) 421-1000 | |
| (617) 421-6084 |
| Full Name | Phyllis J Kornguth |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 133 Brookline Ave, Boston, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790741155 | NPI | - | NPPES |
| J21332 | Other | MA | BLUE CROSS BLUE SHIELD |
| P00272094 | Other | MD | RAILROAD |
| 0015804 | Other | MA | NEIGHBORHOOD HEALTH |
| 4814101 | Other | MA | CIGNA |
| AA43706 | Other | MD | HARVARD PILGRIM |
| 3196097 | Medicaid | MA | |
| 041281 | Other | MA | TUFTS HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 41281 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis J Kornguth, MD, PHD 147 Milk St, Provider Enrollment Department - 9th Floor, Boston, MA 02109-4806 Ph: (617) 421-2508 | Phyllis J Kornguth, MD, PHD 133 Brookline Ave, Boston, MA 02215-3904 Ph: (617) 421-1000 |
Jennifer Michelle Thomas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115 Phone: 617-732-6248 | |
Dr. Meghavi Mashar, MB BCHIR Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000 | |
Rafeeque A Bhadelia, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Bidmc Wcc90, Boston, MA 02215 Phone: 617-754-2058 Fax: 617-754-2004 | |
Dr. Srinivasan Mukundan Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-7260 | |
Raymond W Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114 Phone: 917-923-2079 | |
Dr. Hillary R. Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Grb-273a, Boston, MA 02114 Phone: 617-726-8320 Fax: 617-724-3338 | |
Dr. Tina Young Poussaint, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6450 |